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Insurance Predetermination

At North Shore Cosmetic Surgery our surgeons care for many patients using their insurance on an out-of-network basis. Our staff has great success in assisting patients with obtaining authorizations for many of the following insurance carriers:

  • Aetna
  • BlueCross BlueShield
  • Cigna
  • EmblemHealth GHI The City of New York Health Benefits Program
  • NALC Health Benefit Plan
  • Northwell Direct
  • NYSHIP The Empire Plan
  • Magnacare
  • Meritain
  • Oxford
  • UMR
  • UnitedHealthcare
  • 1199
  • And more

Breast Reduction Patients

Depending on several variables, including how much breast tissue must be removed, your health insurance plan may cover some or all of your breast reduction surgery. The staff at North Shore Cosmetic Surgery has extensive experience in working with insurers for breast reduction surgeries and will work hard to maximize your coverage. Letters of support from your primary care physician, as well as physical therapists who have treated you for back, neck, or shoulder conditions, may aid this process.

Private payment and financing options are available for those patients who are not covered by insurance.

Dr Laylief consulting a patient

Breast Reconstruction Patients

Federal and New York state law requires health insurance plans to cover all phases of breast reconstruction after a mastectomy to treat breast cancer, including enhancements made to the unaffected breast to achieve symmetry. Our staff will work with your insurance provider to obtain approvals for all mastectomy-related reconstructive procedures.

Weight Loss Patients

Massive weight loss is a great achievement, and some insurance providers recognize that by providing coverage for abdominoplasty or other post-bariatric surgery procedures, especially if health conditions, such as rashes from excess skin, are involved.

Our insurance department will help determine whether you are eligible for this coverage and will work to ensure you receive coverage whenever possible.

You may expedite this process by bringing documentation from your bariatric surgeon with you to your first consultation with one of our surgeons.

Surprise Medical Billing Notice

Please review our Notice regarding Your Rights & Protection Against Surprise Medical Bills also known as Balance Billing or Surprise Billing:

Notice

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